Individual provider Active NPI

Coral Cristina Reyes Rosario

  • General Practice Physician
  • Guaynabo, PR
National Provider Identifier
1285211193
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23433 Issued in PR
Practice address
540 Carr 169 Apt 303
Guaynabo, PR 00969-4278
Phone
(787) 692-9172
NPI assigned
Mar 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 36138 PR
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X 23433 PR Primary

Addresses

Primary practice location

540 Carr 169 Apt 303
Guaynabo, PR 00969-4278

Mailing address

540 Carr 169 Apt 303
Guaynabo, PR 00969-4278
Phone (787) 692-9172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
36138PRMDObstetrics & Gynecology Physician
23433PRMDGeneral Practice Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1285211193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 CARR 169 APT 303",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694278",
            "telephone_number": "787-692-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 CARR 169 APT 303",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694278",
            "telephone_number": "787-692-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES ROSARIO",
        "first_name": "CORAL",
        "middle_name": "CRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "36138",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.